Localized aggressive periodontitis associated with unusual gingival enlargement posing a diagnostic dilemma: a case report
Jadwat, Y.; Anagnostopoulos, C.; Wood, N.H.; Lemmer, J.; Meyerov, R.H.; Feller, L.
Sadj Journal of the South African Dental Association 63(4): 230-232
2008
ISSN/ISBN: 1029-4864 PMID: 18689337 Document Number: 618892
This is a case report of localized aggressive periodontitis associated with unusual gingival enlargement. There was difficulty both clinically and histologically in deciding whether the gingival enlargement was a pyogenic granuloma or a Kaposi sarcoma. The diagnosis of Kaposi sarcoma was eventually ruled out by the failure of immunohistopathological examination to demonstrate the presence of HHV-8 DNA markers, and by the clinical response of the lesions to antimicrobial agents. Once a definitive diagnosis was made, the patient was treated conventionally.